License holder summary

MAREK W PIEKOS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MAREK W PIEKOS is GRAND PARK SURGICAL CENTER, 1479 E 84TH PLACE, HOBART IN 46342. This licensed professional license is not current. The license was granted 10/09/1996 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

MAREK W PIEKOS
Controlled Substance Registration - Physician
License number
01045782B
Date granted
10/09/1996
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GRAND PARK SURGICAL CENTER, 1479 E 84TH PLACE, HOBART IN 46342
indianalicensing.org
ID 5867396
LAST UPDATED 2024-02-28 17:23:49 UTC

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